Pearl Basaldua, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPCC20919 Issued in CA

Practice address

2555 E Colorado Blvd Ste 308
Pasadena, CA 91107-6649

Phone

(877) 622-0013

NPI assigned

May 26, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gregory Carinci Psychology Inc

  dba Optimum Behavioral Health

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1851738934
  NPD
• Optum Behavioral Care of California, P.C.

  • Clinical Social Worker
  • Costa Mesa, CA
  • NPI 1447137740
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1700409760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 3RD ST",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919415529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 E COLORADO BLVD STE 308",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911076649",
            "telephone_number": "877-622-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASALDUA",
        "first_name": "PEARL",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC20919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Bartholomew, 42495CERTIFIED MSP
• Charisma Bartlett, PH.D.
• Elizabeth Bartlett, MPH
• Jasmine Bartolome
• Jillian Barton
• Patricia Basalyga
• Lori Basha
• Khaleel Bashir, MD
• Kyle Basical, MD
• Deena Ashraf Basilious

• Professional Counselor in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.